NPI | 1639467715 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY16322) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSY16322) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2024-05-03 |